Recent Submissions

Background: Stress has an effect on the person, the patient and on the whole organization. The work in an emergency department is characterized by a fast pace and the nurse meets a lot of co - workers, patients and relatives during one day. Stress effects the nurse physically, psychologically and socially. Stress also has an effect on the cognitive ability which influences the patient safety.
Long term or severe stress could lead to compassion fatigue or post – traumatic stress disorder (PTSD).
Purpose: The purpose of the study was to investigate the scientific support regarding the causes for stress in emergency care nurses.
Method: A literature study with a systematic approach according to the SBU: s seven steps (Willman m fl, 2006) was conducted which resulted in an analyses of 15 research studies. To review the quantitative studies a validation protocol was used according to SBU (1999). To review the qualitative studies and to weigh the evidence, protocols from Willman m fl (2006) was used.
Result: The analyses resulted in five themes; The nature of an emergency department, Threats, violence and aggression, Traumatic events, Cooperation/ conflicts and Organizational factors and leadership.
Conclusion; To act and to be treated with respect is vital. It is important to experience social support from colleagues and leaders during difficult situations for example traumatic events (especially when children and young people are involved) or during verbal and physical abuse. Less experienced nurses are vulnerable and might need extra support. The nurse must have proper education for the tasks performed.

Background: Borderline personality disorder (BPD) has a broad symptomatology mainly characterized by emotional instability. There is several explanations for the rise but the vast majority are based in an insecure upbringing. Within the patient group it is common with suicidal acts and active self-injury without the intent to die.
Objective: This study aimed to greater transparency and understanding of how the patient group experienced it to live with a diagnosis of BPD and how they felt that they were treated within the care system.
Method: The literature review was conducted with a qualitative approach. Eight scientific papers responded to the underlying studies purpose.
Results: The analysis resulted in the following categories: Getting diagnosed with BPD, a life of alienation, to strive for health and dignity, to have steady contact with health care, to experience themselves as stamped, to have relationships with specific others and also to wish for specialized care, participation, time, availability and continuity.
Conclusion: In order to give the patient group adequate care and build good relationships it is of the utmost importance that health professionals have knowledge of the patient groups life world. Through increased knowledge and understanding, the hope is to reduce misunderstandings, lack of communication and the sense of powerlessness in the relationship between the nursing staff and the patient group, which in turn may reduce the patient group experience of being stamped.

Information and education is an essential part of diabetes treatment to ensure that people with diabetes will be able to live as well and with as few complications as possible. It is often up to the individual educator to give adequate information. Despite many possibilities, the patients’ needs are not necessarily considered. The objective of the literature review was to see if patients had preferences to which diabetes information they receive as well as if they had preferences in which manner they receive diabetes information. The method was a systematic literature review based on the seven steps of Willman et al. [20]. Seven articles [21-27] were found and used. The literature searches were made in three databases; Pub-Med, CINAHL and ERIC. The result showed that patients did indeed have preferences to which information they received and in which manner they prefer to receive it. The patients wanted Individual, Specific and Reliable information and they wanted to receive it Continuously, Supportively, Easily and in Multiple Formats.

Background: Cancer incidence is constantly increasing, but survival is increasing thanks to improved diagnostic methods and better treatment. The patient´s body is affected both by the cancer and its treatment, and sexual lust and function can also be affected and altered. A functioning sex life is an important part of the quality of life of most people. Health care professionals play an important role in preparing the patient for the symptoms they can expect, but often the patients want a lot more information than is given. Purpose: To highlight cancer patients´ needs for sexually related information. Method: A literature review with literature searches in the databases CINAHL and PubMed. The result is based on ten articles with quantitative and qualitative approach. Result: Five themes were identified: Conversation and information about the effects of the illness and possible effects of the treatment on sexual life, when should sexually related information be given, who should give the information, in what form, and also impediments for getting your needs of sexually related information met. The result showed that patients valued conversation and information about sexuality. Opinions about when and how this information should be given varied. The patients´ considered that health care professionals should initiate discussions about sexuality, but also meant that the lack of information was sometimes due to the health care professionals.

The Orthopedic Clinic in Malmö received most satellitepatients during year 2012 of all clinics at Skånes Universitetssjukhus. This results in that the patient receive care in a ward that is not specialized at the patients current diagnosis. It also means that the nurses giving care have professional competence from another speciality. This might lead to potential safety risks for the patient. Does the nurse experience altered competence while caring for satellitepatients? Does the nurse experience that the care given is altered and in what way? Does it result in any safety risk for the patient to be a satellitepatient? Eleven nurses were interviewed in a hermeneutic perspective with Patricia Benner´s theory about different stages of competence as a framework. The most of the participants experienced a difference in caring for satellitepatients compared to orthopedic patients. Mostly regarding physical activity. The result didn´t show if the participants altered professional competence according to Benner. The most participants experienced risks in patientsafety in caring satellitepatients. It´s important that patients are cared for in the proper ward where the professional competence exists.